St Johns Youth Academy

NPI #1265751762 in St Augustine, Florida

Provider Information

NPI Number
1265751762
Entity Type
Organization
Organization Name
St Johns Youth Academy
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
May 24, 2010
Last Updated
May 24, 2010

Practice Location

Address
4500 AVENUE D
State
Florida
ZIP Code
32095-5245
Phone
(904) 829-8850

Authorized Official

Name
MS. BARIKA GRAYSON, L.M.H.C.
Title
CLINICAL DIRECTOR
Phone
(904) 829-8850

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, ChildrenSubstance Abuse Treatment, Children
Residential Treatment Facility, Emotionally Disturbed Children

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